ASSESSMENT OF L INCISION TECHNIQUE FOR AVOIDANCE OF LATERAL DOG EAR DEFORMITY IN MRM | ||
| ALEXMED ePosters | ||
| Article 1, Volume 7, Issue 3, July 2025, Pages 44-45 | ||
| Document Type: Preliminary preprint short reports of original research | ||
| DOI: 10.21608/alexpo.2025.412299.2250 | ||
| Authors | ||
| Tarek Abdelhalim Elfayoumi1; Ahmed Abdel-Latif Abdel-Kader2; George Maged Halim2; Mohammed Khalil Ateia Khalil* 3 | ||
| 1Department of Surgery, Faculty of Medicine, Alexandria University | ||
| 2Department of Surgery, Faculty of Medicine, Alexandria University | ||
| 3Department of general surgery, Faculty of Medicine, Alexandria University. | ||
| Abstract | ||
| Lateral dog ear deformity is a common post-mastectomy complication in patients with large, ptotic breasts and high body mass index (BMI). The L incision technique has been proposed to minimize lateral skin redundancy and improve cosmetic outcomes. AIM: To evaluate the effectiveness of the L incision technique in preventing lateral dog ear deformity in modified radical mastectomy (MRM) among women with large-sized breasts. PATIENTS AND METHODS: This prospective observative study included 20 female patients with breast cup sizes C or D and pathologically confirmed breast cancer. All underwent MRM using the L incision technique at Alexandria Main University Hospital and Borge Alarab University Hospital from jenuary 2023 to march 2025. Exclusion criteria: Patients who are candidates for breast conservation, Patients with small sized breasts, Patients with uncontrolled DM, massive skin locally advanced tumor which need local coverage and Patients with negative axillary lymph node preoperatively. Assessment Methods: Subjective criteria: Patients completed a questionnaire rating satisfaction (scale 1–5) on: Appearance in mirror (dressed/undressed) and how they feel in clothing. Objective criteria: Evaluation had been done by third party medical staff including scar shape and length, dog ear appearance, and postoperative surgical complications including shoulder movement limitation and arm pit numbness. | ||
| Keywords | ||
| DOG EAR DEFORMITY; L INCISION; MRM | ||
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